Safety of Silver-Mercury Fillings

by Dr. Gregory R. Bowen

This is a good example of a silver-mercury filling that was placed, who knows how long ago. These fillings “last” a long time, this one has probably been there for more than 20 years, but you can see from the intra-oral camera photo, that there are lots of problems.

You can clearly see numerous cracks, corrosion, and open margins (edges where the material joins the tooth) and also a crack in the tooth, which is just visible at the bottom of the picture.

Fortunately, this patient didn’t wait until she had sensitivity to biting, hot or cold sensitivity, or throbbing at night. A white composite resin filling was placed and within 15 minutes the restoration was complete with no further risk to the tooth.

I am often asked if the mercury causes any problems… The standard answer is that not when “amalgamated” with silver. There are no conclusive studies on humans that show mercury toxicity from dental amalgam fillings, however it has been banned in Japan and some European countries, and there is talk of requiring filtering out the amalgam debris from dental offices before it goes down the sewer.

So in the eyes of the government, its OK for our mouths, but not the sewers!

Top Reasons People Avoid Dental Care

Far too many people avoid, delay or definitively put off needed dental care examinations and services. The reasons they do may surprise you.

1) No dental insurance. Some actually believe that the only way they can get dental services is if they have dental insurance. The use of health insurance has led many to believe that care is only affordable if you have insurance.

2) Fear, anxiety or panic attacks. This is a reality for many people who worry excessively, become anxious over the unknown, have difficulty over situations they cannot control, or who have real phobias that leave them feeling overwhelmed and paralyzed by fear of having a panic attack.

3) Affordability. Most people fear getting hit with a huge dental bill that they cannot afford. Many have not explored the many options available.

4) Shared "horror" stories. Friends or relatives can sometimes inadvertently scare with stories they've heard.

5) Lack of information. Lack of information, or having the wrong information, certainly influences many. The Internet can be an excellent source of information, but there is a lot of false information as well. And, while it may be easy to read up on a condition with symptoms that match yours, it does not necessarily mean you have it. It is important to get a professional evaluation.

6) Lack of Time. Something that affects almost everyone, it's often hard to find yourself willing to take time for a dental visit when reasons 1-5 are giving you excuses good enough on their own. It's easy to worry about missing time from work, or needing to shuffle after-school activities, etc.

Studies show the devastating consequences of avoiding dental care. Rather than suffer with an ever-worsening condition, chronic pain, loss of teeth and even serious health consequences, consider getting the answers you need to get appropriate care from a qualified, experienced dentist in your area. There are professionals who can help.

October is National Dental Hygiene Month

October is a month we celebrate dental health!

National Dental Hygiene Month is a reminder to schedule scheduling visits with your favorite dentist for a checkup that can help keep your smile beautiful and teeth healthy and trouble-free.

And, if you find you do have a problem that needs attention, it can be a gentle reminder to have a visit.

It's also a great time to check in with Dr. Greg Bowen to see the newest advances in equipment that he has brought into the office to make your visits easier, more comfortable and faster!

It's also a good time to check out our new websites and follow us on social media!

Hand, Foot and Mouth Disease - Should You Worry?

by Andrea L. Algar

Just the name "Hand, foot and mouth disease" sounds serious, and a bit scary. First thing that comes to mind is often "mad cow disease", which isn't related at all. Hand, foot and mouth disease is a virus that usually attacks children during summer months, but it can also affect adults, who can pass along the disease without showing any signs themselves.

Hand, foot and mouth disease (HF&M) can begin in late May and extend through the end of August. The disease is commonly caused by the coxsackievirus. Each year, many cases are reported, and is most common in children younger than five year of age. It usually starts with a fever, poor appetite and a sore throat. In a few days, painful blister-like mouth sores develop. A skin rash on the palms of the hands and/or soles of the feet may pop up after 1-2 days.

 It is important to monitor those infected because the sores in the mouth are very painful and can cause the person to avoid drinking, which can lead to severe dehydration, which is one of the biggest risks with the virus.

The virus itself can spread to adults and other children. It is spread by personal contact such as saliva, blister fluids, coughing, sneezing, and commonly through dirty diaper contamination.

While the virus rarely leads to life-threatening complications, Dr. Greg Bowen encourages you to bring your child to the pediatrician if you suspect he/she has come into contact with the virus.

FOR MORE INFORMATION:
Mayo Clinic - Hand, Foot and Mouth Disease

Overcoming Dental Fears Now And In The Future

by Andrea L. Algar

Dentists have been struggling for years to help patients conquer fears of coming in for much needed dental services. For some men and women, as little as the sound of a dental drill brings feelings of anxiety and even panic. Racing heart, sweaty palms, body shakes, irregular heartbeat and hot or cold flashes are just some of the symptoms that can happen in an instant when a panic attack happens.

MRI

In a previous article, we looked at research presented at the Society for Neuroscience that suggests that they may now be closer to understanding dental fears thanks to MRI's that allow them to "see" anxiety. Researchers revealed the findings after studying two groups of people: those who had dental anxiety in one group, and those who had no history of dental anxiety in the other.

MRI (magnetic resonance imaging) brain scans were taken while the researchers played a variety of dental sounds of dental drills and suction instruments. They found that there was marked differences in brain responses between the two groups.

Some say that this finding suggests that with the use of MRI's, dentists may soon be able to uncover specific calming methods for their anxious patients. With the high costs of MRI, and the difficulty in getting anxious people to come to a dental office in the first place, it begs the question of whether this will ever be an effective way to diagnose exact triggers and calming methods for those who have moderate to extreme dental anxieties.

It is estimated that about 10 percent of the general population suffer from severe anxiety about going to the dentist. Many of these men and women put off visits to the dentist until they have a full-blown problem that needs immediate attention. Even then, a good number still avoid going. Dental anxieties can cause overwhelming fears that lead to dental avoidance altogether. This can have devastating consequences, as there is clear evidence that dental problems that are not treated appropriately can lead to a number of serious medical conditions.

Many think that anxiety is caused from a fear of pain, and this may be one of the common fears, although fear of the unknown (i.e. what's going to happen next, what instrument will the dentist use, what if I gag or choke, etc.) is probably just as provoking as "how much will it hurt". The "what-if's" are an anxious person's worst enemy.

Contrary to what many anxious patients believe, pain is actually quite rare in dental surgeries and in many dental procedures. A recent survey by Tickle confirmed this, reporting that, "451 adults visiting dentists in the north-west of England and found that 75% of patients reported no pain at all during their visits. Those having the most invasive procedures, such as tooth extractions and root canal treatment reported some of the higher pain scores, but even many of these claimed to experience no pain at all." While this news should be encouraging to most people, the report concluded, "The strongest predictor of pain during dental procedures was dental anxiety. Anxious patients were four times more likely to experience pain than non-anxious patients."

Dental fears are very real for those who suffer with them. While we have a number of dentists who are sympathetic to dental fears and offer services under the names "gentle" and "calming", it often does not address the anticipatory anxiety that can overwhelm a patient and prevent them from going to any dentist, even one who caters to nervous patients. For anxious patients, the anticipation is often worse than the actual experience, and for these men and women, it needs to be addressed by professionals who know how to help.

The good news is that there are extremely effective methods available right now. The field of anxiety treatment has been much improved with the wider use of cognitive-behavioral methods by qualified mental health experts trained in handling anxiety and phobias. These methods work well with dental anxiety and dental phobias.

Richard C. Raynard, Ph.D., a Licensed Psychologist who has specialized in anxiety and phobias for over 35 years, explains, "Anxious patients are much more likely to perceive pain, even at times when non-painful procedures or simple events such as rinsing the mouth with water occur, because they are already in an anxious state. Their body may be reacting in ways that makes them feel like they are about to die or have no control. It is easy for their anxiety levels to escalate quickly. However, these types of anxieties are very treatable."  Even more severely affected phobic individuals can be helped with these methods and go on to successfully, and comfortably, visit their dentists for needed services.

RELATED ARTICLES:

Dr. Bowen - Dental Fallacies Keep Us Fearful And Avoiding The Dentist
Dr. Bowen - Dental Fears "Seen" By Scientists

ABOUT THE AUTHOR:
Andrea L. Algar is a writer and business consultant in San Antonio, Texas. She has worked with healthcare, beauty, automotive, music and other professionals for over 35 years.

San Antonio Patients With Gum Disease Have Effective Treatment Option

by Andrea L. Algar

Gum disease treatments have progressed greatly from the old days of painful gum surgery and weeks, if not months, of healing. Cutting and sewing gum surgeries, often referred to as "cut and sew" or "stitch and sew" can be eliminated with the use of the state-of-the-art LANAP laser gum treatment.

Traditional "cut and sew" gum surgery

Periodontal gum disease is a serious condition that affects almost half of all adults over thirty years of age. Most people do not realize the dangers of periodontal disease and put off treatments that can be painless and very effective.

Left untreated, periodontal disease is thought to contribute to the development of many other major diseases such as heart disease, stroke, pneumonia, diabetes and others. "Risks to other areas of the body are very real with periodontal disease," explains San Antonio dentist Dr. Gregory Bowen. "Most importantly, periodontal disease contributes to 75 percent or more of tooth loss in adults. That's a staggering number. The consequences of tooth loss on one's health is immense. Tooth loss affects many body functions including the ability to eat and chew foods, speech, sleep, as well as your appearance. It shouldn't be taken lightly."

Dr. Gregory R. Bowen was one of the first dentists in San Antonio to introduce the ground-breaking technology. He acquired the Periolase laser and received certification in 2006 when he began using the laser in his own San Antonio dental offices. Since that time, he's treated over 250 patients, including his own father! "With this new technology, you don't have to have your gums cut open, then sutured back together," explains Dr. Bowen. "In my opinion it is more effective than traditional treatments. 250 happy patients back that up."

This new revolutionary laser procedure called LANAP, short for Laser Assisted New Attachment Procedure, is minimally invasive that leaves healthy gum and mouth tissues unaffected while destroying the bacteria that causes periodontal gum disease. Dr. Bowen demonstrated the Periolase laser for me at his offices, demonstrating just how focused the laser is. The wavelengths for this laser are precise for treating gum tissue, and is not the same type of lasers you'll find for cosmetic skin procedures or laser hair removal.

Before-After with Periolase LANAP laser treatment

Less pain, less downtime, outstanding outcomes. LANAP truely is revolutionizing periodontal gum disease treatments. With the ability to eliminate the bacteria and infection that causes periodontal disease, the possibility of reversing gum disease and the destructive bone loss and tooth loss than can occur is a tremendous step forward in dentistry.

Dr. Bowen elaborates on the benefits to those who have gum disease. "Patients can now get extremely effective gum disease treatment, often in a single office visit which allows them to return to work or other activities the same day," he states. "There is minimal bleeding and healing times are fast. The laser literally vaporizes the infection and cleanly cauterizes the area, meaning no open wounds and no painful cutting or stitching. I'm excited to have brought this effective treatment to San Antonio. We now have technologies that rival the most medically advanced cities in the country."

To aid patients in the process of finding effective help for #gumdisease, Dr. Bowen is offering free assessment visits in his San Antonio office.

FOR MORE INFORMATION ON GUM DISEASE:
Gum Disease Facts
Treatment Options for Gum Disease
Periolase & LANAP laser treatments

ABOUT DR. BOWEN:
Dr. Gregory R. Bowen has been serving men and women in San Antonio for 30 years. He is a strong advocate of newer technologies that help him deliver the most effective dental techniques available. Since 2006 he has utilized the Periolase laser for effective treatment of periodontal gum disease.

How Lasers Were Discovered To Be Extremely Effective In Treating Gum Disease

by Gregory R. Bowen, DDS

Lasers have been revolutionary in medicine, and now we find that they can be instrumental in the field of dentistry, and specifically for non-surgical treatment of periodontal gum disease. The incredible new technology started in the mid 1990’s when two Los Angeles dentists, Dr. Robert Gregg and Dr. Delwin McCarthey, were interested in lasers as a hobby.

They theorized that because the bacteria that cause periodontal disease were naturally dark pigmented organisms, they would be susceptible to a certain laser wavelength in the infrared spectrum, which is invisible to the human eye.

This was indeed the case. Fortunately, the organisms were fragile, and susceptible to the 1064 nanometer light. Dark puffy red gums would within a few weeks, heal to a normal
pink and firm texture, much like the photo shows. When they compared the results, they were both consistently getting with their semi annual cleaning patients, they knew they were on to something important.

As Dr. Gregg explained it to me when I was in California getting training on the Periolase, they knew they needed to go public and get formal research studies going to validate their findings. They also knew that the laser specifications they needed did not exist in a commercially available machine. So they decided to start Millennium Dental Technologies, Inc. and build and market these machines.

They needed an ND: YAG laser that was pulsed, and that the pulses of light could be controlled and varied. When set to a faster pulse the bacteria were destroyed more efficiently, when set to a longer pulse duration, blood would get sticky and begin to clot. Best of all, this particular wavelength was not absorbed by water, which comprises 70% of our bodies. The laser would kill the bacteria in all tissues, even bone, and remove
reddened infected tissue, but would not damage normal tissue. With traditional gum surgery, this was not the case. Healthy tissue was removed as well as diseased tissue. Best of all, there was no long, painful healing process involved. They named the new procedure L.A.N.A.P., meaning laser assisted new attachment procedure.

This was followed by several years of scientific studies some of which was conducted by an internationally known periodontist named Ray Yukna. His findings validated the Periolase as it was called.

In 2006 while reading DentalTown, a website for dentists with input from dentists all over the world, I began coming across lots of positive responses for LANAP and the Periolase. In January of 2007 I attended the first 30 hours of 48 hours of intensive hands on live patient training at the University of Colorado.

When I returned to my office I began offering this treatment to my patients and I also began to see phenomenal results with my patients who had periodontal disease. It has been almost seven years now, and several hundred people, including my own father, have benefited from this revolutionary treatment.

I've become so impressed with the oustanding results with the LANAP procedure and my Periolase laser that I want everyone who suffers from the devastation of periodontal gum to know that they have options. I discuss the symptoms of gum disease and all of the treatment options, including non-surgical laser treatments, on my new informational website Gum Disease & Effective Treatments at www.gumdiseasesanantonio.com. 

Upgrading To A New CerecAC In-house Milling System

By Gregory R. Bowen, DDS

Recently, I made the trip to Huntsville Alabama to purchase another milling machine for the Cerec AC which many of you know can make a crown in a single visit, without having to have messy impressions, having a temporary that falls off on the weekend, or having to come in for a second appointment and a second shot.

CEREC AC In-office milling system
for same day crowns and veneers

I met the owner of a dental lab in Huntsville who was downsizing his lab and decided he didn’t need one of his mills. Having used the Cerec milling equipment for several years, I was interested in purchasing the latest models to compliment other state-of-the-art technologies in my San Antonio dental office. After calling him, I told him I was interested in buying the machine now and that I would drive the thousand miles to Huntsville, and if he could demonstrate the use and verify the self diagnostic program, I would take it home with me. He sold me a machine with less than 210 procedures milled. Sort of like getting a ’57 Tbird with only 5000 miles
on it. Although, in 1957, Cerec technology wasn’t even in Science Fiction movies.

This new Cerec AC mill not only completes a crown in one third the time of my older model, it also can now machine abutments for implants and can machine complete bridges. There is now almost no crown and bridge procedure that needs to be performed by a commercial lab. Virtually everything can now be completed in my dental offices while you wait.

When an implant is placed, the surgeon, places the titanium implant into the jawbone. The top of the implant is at the level of the bone below the gum. The abutment screws into the implant and the crown goes over the abutment. In this manner the missing tooth or several missing teeth can be replaced, and in many cases as if they had never been lost.

A bridge is simply a crown on either side of a missing tooth or several teeth, with a false tooth joined between. For the first time for us dentists with Cerec Machines we have the ability to make these bridges. Sometimes, without a temporary or second visit.

It took almost 25 hours of studying the new software, working with training models and conversing with the excellent doctors on Cerecdoctors.com before I felt confident enough to use the software with my patients. It is truly an amazing technology and fun!

The following pictures highlight the implant crown over custom abutment and the bridge procedures with screen shots of the design software.

 

The following video shows the milling system in operation.

Gregory R. Bowen, DDS is a San Antonio dentist who uses state-of-the-art technologies to provide improved treatments to his patients. He is known for his "no cut and sew" non-surgical periodontal gum treatments, as well as same day crowns and same day veneers.

Root Canals Cause Fear for Most People, But Are Usually Misunderstood; Get the Facts

by Andrea L. Algar

"Root Canal" is a term that most people are terrified of, but it is a very misunderstood term. Most people use to describe a dental procedure, but many do not know that it is actually a part of the tooth. The actual term of the dental treatment procedure is called "root canal therapy" or "endodontic treatment".

So what is the procedure and why do you need it? Quite simply, root canal therapy is a dental treatment method designed to help save your tooth. When your root canal becomes infected, it is often necessary to perform root canal therapy or endodontic treatment to avoid further damage to the root canal. If the root canal becomes severely damaged, you may need to have the tooth extracted.

The term "root canal" does not usually spark quite the same fear that it once did decades ago. Thanks to modern dental equipment and techniques, patients are far more comfortable with procedures like root canals. However, for those who still cringe at the words, consider some of the myths about root canal:

              MYTH                                    FACT
Root canal therapy is painful         In fact, root canal treatment alleviates pain
Root canals causes tooth loss      Without treatment you can experience tooth loss.
                                                       Treatment is designed to help save your teeth
Tooth extraction is better               Saving your natural teeth is always the best option
They can cause infection              Root canal treatment eliminates infection
Root canal "kills" the tooth             Root canal treatment disinfects the tooth
It cause nerve damage                  Treatment is designed to eliminate nerve pain
Treatments take hours                   Most root canal treatments are done in 1-2 hours
Many don't work                              Root canal treatments have success rates of 85%

Know the symptoms of an infected root canal. What are the signs you should look for?

• Severe pain when chewing or when pressure is put on tooth
• Swelling and tenderness of gums near affected tooth
• Sensitivity to hot/cold, even after source has been removed (i.e. cold drink, etc)
• Continual ache or throbbing sensation
• Darkening of the tooth
• Presence of pimple on gums
• No symptoms! For some, detection is made by dentist upon exam

Have questions about root canals in San Antonio, Texas? Contact Dr. Gregory Bowen's office.

Preventing Cavities - 10 Things You Can Do No Matter What Your Age

by Andrea L. Algar

Many people mistakenly believe that cavities only occur when you're young. The truth is that cavities can occur at any age. But,  knowing what causes cavities and what you can do to prevent them can save you the need for a tooth filling.

Prevent a visit to treat a cavity

Cavity is just another word for tooth decay. And tooth decay doesn't discriminate. Anyone can get a cavity at any time in their life, but everyone has the ability to prevent them.

Tooth decay happens when plaque on your teeth combines with the sugars or starches in the foods we eat, producing acids that can eat through tooth enamel, causing bacteria and tooth decay. Staying on top of this interaction is key to cavity prevention.

Here is a list of things you can do right now to help prevent future cavities for yourself and other family members:

• Brush your teeth
• Floss between your teeth
• Visit your dentist for oral check ups
• Get your teeth cleaned at your dentist's office
• Use mouthwash or rinse
• Get tooth sealants from your dentist
• Eat healthy foods
• Chew sugarless gum
• Drink water
• Don't share glassware or utensils

Think you've heard it all before? Maybe you have. But did you know that incorporating these into your daily life is much easier than it sounds! Here's how:

1) Brushing your teeth twice a day for two minutes isn't as difficult if you make it part of a routine which is performed at the same time each morning and each night before bed. Some find that the use of a sonic toothbrush helps regulate time and isn't as tiresome. They can also help you from "scrubbing" too hard which can cause damage to your gums. Once you get the hang of how long two minutes is, the time begins to go by quite fast. The difference you'll notice will amaze you.

2) Flossing is something that many people dread because it is seen as very time-consuming. However, there are great flossing tools available now that will help keep your fingers from turning purple (due to winding floss too tightly around your fingers), and the unpleasantness of getting drool all over your hands! Some come in the form of picks with floss at one end, others look like a tuning fork with floss stretched between the forks, allowing you to access all of your teeth in a fraction of the time and without any mess. Some are angled to provide extremely easy use. You don't have to put up with hard-to-use floss anymore.

3) A visit at least twice a year to your dentist is one of the best ways to prevent cavities. Your dentist is able to watch for early signs of tooth decay and stop them before they require a lot of drilling and a large filling. Your checkups can also detect other problems such as disease and oral cancers early when they are much easier to treat.

4) As part of your yearly visits, you'll want to see the hygienist at your dental office for a thorough tooth cleaning. These cleanings take care of areas that even the best brushing and flossing can miss, and visits are usually quick and painless. In truth, there's nothing like the feeling of spotlessly clean teeth following a professional tooth cleaning at the dentist office. I can't be the only one who loves to run their tongue over my teeth after they've polished up!

5) Often overlooked, and something that takes only a few extra seconds is the mouthwash. Available in a variety of flavors, colors, dental washes and rinses can target specific problems such as dental plaque, whitening and fluoride to help strengthen teeth.

6) Tooth sealants are sometimes recommended by your dentist following a checkup or a dental cleaning. Sealants help shield your teeth from plaque and bacteria. Application is painless and usually fast, and contrary to what some believe, it's not just for kids anymore.

7) It's funny to think that eating healthy can actually help prevent cavities, but decades of dental research has shown that it is true. Since eating healthy not only improves your dental health, but the health of your entire body, it is well worth making changes. Change doesn't have to happen overnight to be beneficial. Many begin by replacing one meal at a time so they can learn new habits, try out new foods or preparation methods, and finding a balance that works for them. Sugary sodas is high on the list of things to cut back on. My personal rule: drink one soda, follow with one full glass of water - no exceptions. But, this isn't to say that an occasional snack is forever forbidden. By following the best practices in brushing, flossing and dental visits, even a calorie ridden sugary dessert won't set you back as long as the practice of moderation is observed.

8) Yes, chew sugarless gum! Studies have suggested that chewing sugarless gum can actually serve to remove food particles from your teeth between brushing and flossing. This is ideal when you're at the office and don't have a toothbrush handy following lunch. Easy to incorporate this one into your daily routine!

9) Water is good for your dental health. We all know that drinking water is good for us, but let's face it, tap water doesn't always taste good and we've been conditioned to question "what's in our water". Bottled water gets expensive and doesn't contain fluoride. Not only will a water filter save you money, but water filters can remove minerals and deposits that make drinking tap water taste unpleasant for many. Water filters can be simple screw on your tap to elaborate whole-home filtering systems. Even a good filtered pitcher will deliver water you'll love to drink. Invest in a water filter for better dental health.

10) Don't share glasses and utensils. Bacteria can easily be passed from mouth to mouth by using the same drinking glass, spoon, fork or other utensils. Many people don't think about this when sharing with a loved one or family member, but for the best oral hygiene don't pass contagious bacteria that can cause tooth decay and lead to cavities.

To sum it up, see if you can add these simple things to your daily life:  brush, floss, drink water, eat as healthy as possible, chew sugarless gum (between brushing and/or following sugary snacks),  and use your own cups and utensils! Follow with a visit to your dentist twice a year. That's not too hard to take is it?

Dental Fallacies Keep Us Fearful and Avoiding the Dentist

by Andrea L. Algar

Let's face it, dental fears go back to the days when dentistry was pretty barbaric and yet, they are still prevalent even in today's era of modern dentistry and outstanding technologies that make dental procedures easier than ever before. So what are we hearing that keeps us stuck with unrealistic dental fears?

Credit: mimiandeunice.com

I've done some research into the matter, and what I've found is that information that is passed from person to person is sometimes based on absolute falsehoods.

Some of the information I uncovered is blatantly out there on the Internet, spoken as if gospel. Others are from stories that people have passed on to me first-hand. Like the story which was presented as "fact" by the young man who insisted that it was FAR better to go without brushing your teeth or having a cleaning at the dentist because once you disrupted the natural state of things in your mouth, you were BOUND to get a cavity!!!  (Hmmm....wonder how many he has by now without his dental visit!) He was actually convinced that going to a dentist would make him get a cavity.

Here, I've compiled a list of what "facts" (actually false) that I saw the most. See which ones you've heard, then follow with the facts:

1) Root canals hurt like hell.
2) Pregnant women should not have dental care during pregnancy.
3) Fluoride in our drinking water is dangerous.
4) You shouldn't use toothpaste with fluoride because it's already in our water.
5) If you lose a tooth, it's okay to just leave it alone.
6) Smoking doesn't affect your teeth.
7) Tooth extraction is necessary when you crack your tooth.
8) Wisdom teeth always need to be removed.
9) It's okay to delay dental treatment if you're not in severe pain.
10) If it doesn't hurt, it's okay.
11) Nutrition isn't important to teeth.
12) If I haven't been to regular visits, my dentist may take it out on me.

Here's the facts:

1) Root canals don't have to hurt. Modern dentistry has blessed us with many options to reduce and/or eliminate pain during procedures. Modern equipment is better than ever. Even the dreaded dentist's drill is far less scary than forty or fifty years ago. The plain truth is that the root canal procedure is designed to help save your tooth/teeth.

2) There is no evidence that dental procedures cause harm to mother or baby. In fact, the opposite may be true. Women who maintain their dental health during pregnancy have less risk of passing infection to their unborn baby.

3) Despite some scrutiny on the use of fluoride in public drinking water, the Centers for Disease Control and American Dental Association stand by the practice. Facts seem to back them up.

• Since 1960, total tooth loss in adults has dropped 60%. 
• Cavities among adolescents has decreased from 90% to 60% 
• The number of teeth with cavities dropped from 6.2 to 2.6 
• When factoring in all age groups, the cavity rate drops to just 40%.

4) The amounts of fluoride used in drinking water and toothpaste combined are not considered dangerous levels.

5) If you lose a tooth due to decay, gum disease or an injury, it's important to see the dentist to have some type of replacement made. The options generally are denture, implant or bridge. The primary reason is to prevent jaw problems, pressure on other teeth, change in your bite, help with speech and chewing, as well as aesthetic reasons.

6) We've heard of the dangers of smoking for decades, but there is now far more evidence on the extent. Smoking can affect your teeth, gums, tongue, mouth and throat as well as other parts of your body. In addition to causing smoker's breath, it can cause oral ulcers and cancers. Luckily, twice-yearly dental exams can help identify these early when treatments are more effective.

7) This may have been commonplace fifty or a hundred years ago, but today, a cracked tooth can be fitted with a crown to restore the tooth to full function. Modern equipment is now available that delivers same-day crowns in a single visit.

8) Wisdom teeth don't always need to be removed. If there is sufficient space in your mouth, and they are not problematic (such as impaction) they can stay forever. Many people do need to have wisdom teeth removed, however, and can be helped greatly with sedation options if they are nervous or fearful of the procedure.

9) Some patients delay visits because they can't afford treatment right now, are fearful, or feel they don't have the time. Whatever the reason, it's usually not a good idea as delaying can only make your existing problem worse, cause more pain, and may even end up costing you more money.

10) Even though pain is sometimes a good indicator that there is a problem that needs attention, not all dental problems cause pain. People have different pain tolerances. Different dental problems cause different amounts of pain. And, pain can be intermittent. If something has changed in your mouth, you'll want to discuss it with your dentist just to be sure.

11) There is overwhelming evidence that nutrition is very important to oral health. And it's not just milk that creates strong teeth! In addition to what you eat, there is now some evidence that shows it may be equally important how you eat! (We'll take a look at this in more detail in a future article.)

12) I actually had a friend who believed this! Yet, I have never encountered a dentist who didn't realize that going to a dentist can be difficult for many people. Don't let it prevent you from starting a new routine and instead of avoidance, you ask your dentist for help in forming new healthy habits!

What I've concluded from my unscientific research into this is that fearful people generally like information that gives them the excuse not to have to go to the dentist. Unfortunately, there is a lot of bad information that is abundant on the Internet and is often passed along from person to person unchecked for fact. If in doubt, check out the facts by visiting websites that are reputable. The American Dental Society and WebMD. have sites which are based on fact.

There are more dental fallacies, I'm sure. Stories I didn't uncover, or haven't heard before. I hope it does get you to take a look at the information being given and to do your own research into it if something sounds suspect. Of course, what makes a lot of sense is to get a visit with your favorite dentist and ask him or her! I find that a good dentist loves to give the right information.

Got a story you'd like to share?

RESOURCES:
ADA - American Dental Association
WebMD - WebMD

Recent Lecture On Periodontal Disease Stresses Importance Of Treatment

by Gregory R. Bowen, DDS

On a recent Friday I attended the Hollers Memorial Lecture sponsored by the UTSA Dental School alumni. This lecture is held annually and features distinguished practitioners from around the world. I try to attend this lecture every year for this reason.

Inflammation of the Gums 

The topic of discussion involved a topic that has received some attention over the last few years, namely, the effect of inflammation and infection of one part of the body having destructive effects on other organ systems that may be far removed from the source of the infection. Inflammation we're concerned about as dentists, is inflammation of the gums.

As you may know, inflammation is the bodies reaction, biochemically, to injury, bacterial, or viral assault. Every day, our bodies fight off multiple attacks by microorganisms, and are constantly repairing small injuries we may not even be aware of.

One of the primary battlegrounds in this microscopic war is the oral cavity. It is normal for millions of bacteria to be found in just a drop of saliva. Most of these bacteria are harmless and even do some good by preventing other more harmful organisms to proliferate. The harmful bacteria which live in the gums and on the teeth in the plaque they form, are “crowded” out and so don’t overpopulate.

However in the form of periodontal disease, which is the inflammation of the gums, harmful bacteria that live in the small space between the gum and tooth- the “pocket” overgrow and begin to cause inflammation.

Most of us, are genetically equipped to fight off these organisms and maintain health even with poor oral hygiene. About 35% of the population are genetically unable to control these organisms. We inherit this from our parents.

When periodontal disease occurs, most of the teeth and surrounding gums are infected, producing a large cross section of irritated tissue. The toxins from the bacteria and biochemicals produced by our bodies during the course of fighting this infection find their way into the blood stream and have a negative effect on blood vessels. The linings of these vessels become irritated and cause white blood cells to migrate into the linings of the vessels. LDL Cholesterol sticks to the lining and the result is a gradual closing of the vessel. If this vessel is in the heart or brain, stroke and heart attacks result.

People with periodontal disease are 4 times more likely to have this happen. Those who smoke increase the likelihood of periodontal disease 4 more fold. Diabetics are even more prone and there is definite link between periodontal disease exacerbating diabetes and vice versa. Our bodies produce biochemicals that actually damage our own tissues in order to get at the harmful bacteria which can migrate into the cells, between the cells, and even into the bone. Sort of like a person taking a sledgehammer to a wall to get at a water leak.

Fortunately, we have a new treatment for periodontal disease. The Periolase Laser! In my next article, we’ll take a closer look at the laser that is revolutionizing the treatment of periodontal disease in San Antonio.

Dental Fears "Seen" By Scientists; Therapists May Hold Key to Overcoming Them

by Andrea L. Algar

Sound of the dentist's drill can create anxiety for some, unleashing a variety of symptoms such as rapid heartbeat, sweating and nausea. For others, studying why this happens is a compelling mystery.

Dental Fears

The Society for Neuroscience reported at a recent meeting in San Diego that researchers now believe they are closer to understanding why some have anxiety and others do not. Scientists in Japan have discovered that some patients display different brain activity which could be the key to effectively handling dental fears for those more predisposed to it. The goal, of course, would be to ease anxiety symptoms and perhaps eventually eliminate fears at the dental office.

The study was conducted scientifically, of course. With the help of psychiatrists, two control groups were created after assessing how much patients feared a trip to the dentist. Researchers then divided the research subjects into two groups; low fear and high fear. 

While playing sounds usually found in a dental office such as suction instruments and drills, responses were measured in the brain for both groups by scanning subjects in an isolated MRI where brain activity results would not be influenced by visible or audible responses. The sounds were mixed with a variety of different sounds deemed "neutral" so that reactions to the dental sounds could be measured reliably. The MRI images gave researchers results they could actually "see". 

What researchers discovered was that those in the low fear group displayed more activity in the brain when responding to the dental sounds than when they heard the neutral sounds. The activity occurred in the auditory areas of the brain. In the group of high fear subjects, however, they found more intense levels of activity in the part of the brain called the left caudate nucleus, thought to play a role in learning.

This research supports the findings of behavioral psychologists who have learned that cognitive-behavioral methods can be extremely effective in treating a variety anxiety disorders, including dental fears and phobias. Richard C. Raynard, Ph.D., Clinical Psychologist and anxiety disorder specialist, explains, "Many people have small amounts of dental anxiety, which is normal. It is quite common for people to experience brief episodes of anticipatory anxiety, primarily from a fear of the unknown (i.e. what will be needed, how much will it cost, will it hurt, will other people notice)." 

Dr. Raynard elaborates, "For about 10% of adults, however, levels of anxiety can be quite severe. Some even develop full-blown phobias. For these people, fears can bring on symptoms such as heart palpitations, sweaty palms, dry mouth, nausea, dizziness, and a host of other body symptoms. The pattern of anxiety, physical symptoms, then worry actually reinforces the anxiety and can lead to episodes of panic and avoidance.  Over time, patients may avoid all dental visits, including dental emergencies." 

The news is good, however, even for those with dental phobias. "Dental fears are highly treatable with a form of behavioral therapy which includes desensitization. Visits to a psychologist with this specialized training and experience can help reduce or eliminate dental fears and allow for needed dental work to be done without the grip of anxiety or panic," states Dr. Raynard. 

Dentists who are sensitive to patients with anxiety is important. Dr. Gregory R. Bowen, a San Antonio dentist with over 30 years experience, believes that there are a number of reasons why people can develop dental anxiety. Early dental experiences, not being informed before a procedure, and even listening to someone else's story about a dental visit can affect one's views of the dentist and create unneeded and unwanted anxiety. "Dental fears can be learned. Dental anxieties are more common in children with parents or caregivers who have dental fears. In my experience, those with anxiety are also far more likely to report pain during a dental visit, where the vast majority of patients do not experience pain. In fact, many patients report a reduction in pain following a dental visit. Dental fears can be addressed in a variety of ways once your dentist is aware that you're anxious," explains Dr. Bowen. "It's important so that we can help our patients feel comfortable and trust that we will do everything we can to minimize their anxiety."

Dental research will continue to explore how to integrate the use of cognitive-behavioral methods along with dentistry that is sympathetic to those who have anxiety. Some dentists already have an understanding of this relationship and, like Dr. Bowen, have taken steps to make trips to the dentist more relaxing for anxious patients.

REFERENCES:

Official Website: Society for Neuroscience

OASIS: 2013 SfN Conference Abstracts

Richard C. Raynard, Ph.D.: Panic Update, Panic Doctor Website

Dr. Bowen: Website for Dr. Gregory R. Bowen, DDS

Why Is Treating Gum Disease So Important?

by Andrea L. Algar

Gum Disease

It's shocking to think that something so easily "put on the back burner" can put your health at such risk. As I dig deeper into the perils of periodontal disease, more commonly referred to as "gum disease", it is startling to see just how many diseases can form or worsen from it.

People talk about the importance of treating gum disease, but many just don't understand why, or how severe the problems can be.

First, understand the symptoms of gum disease:

• tooth sensitivity
• redness of the gums
• inflamed, irritated gums
• bleeding gums
• pus between teeth
• sores in the mouth
• plaque formed around teeth
• persistent bad breath
• loosening of teeth and/or dentures

Then, look at how gum disease can quickly progress:

• plaque spreads below the gum line
• pockets form around the teeth
• abscess / infection develops
• sores in the mouth
• deterioration of the jaw bone begins
• bone recedes from around the tooth
• bone loss results in sunken facial appearance
• skin looks more wrinkled and aged
• teeth loosen and become unstable
• tooth loss occurs as bone loss progresses

Gum disease can take many forms:

• Gingivitis
• Aggressive Periodontitis 
• Chronic Periodontitis 
• Periodontitis with Systemic Disease
• Necrotizing Periodontitis

What is not discussed as often are the health consequences of this progression of gum disease. As bone loss progresses, it puts one a greater risk for medical conditions. Researchers have been able to tie gum disease to serious health conditions such as:

• bone loss in mouth
• diabetes
• pancreatic cancer
• heart disease
• respiratory diseases
• pneumonia
• osteoporosis
• throat and/or mouth cancers
• pancreatic cancer
• blood cancer
• kidney cancer

What are common factors that put you at risk for developing periodontal gum disease?

• age
• tobacco use / smoking
• stress
• grinding your teeth
• medications
• genetics
• poor nutrition
• obesity
• cardiovascular disease
• rheumatoid arthritis
• diabetes

For decades, the only solution to gum disease was cut and sew surgical methods which were painful and took months. But this is no longer the case. Upcoming articles will take a took at state-of-the-art treatment methods which are quickly revolutionizing the treatment of gum disease. I've interviewed Dr. Gregory Bowen, one of the first dentists in San Antonio to obtain revolutionary new equipment called Periolase. He will be providing details on how the LANAP procedure works and what it means to San Antonio men and women who may have gum disease, whether in early stages or those with gum disease that has progressed into bone loss.

The great news is that early symptoms of gum disease may be easily treatable through increased attention to simple dental care activities like brushing and flossing.  If you suspect that you have gum disease consider a visit with a qualified dentist to get a professional assessment. Don't put your health at risk.

RESOURCES FOR ADDITiONAL INFORMATION:
American Academy of Periodontology
Dr. Gregory R. Bowen, DDS - San Antonio Dentist Specializing in Periolase Laser Gum Treatments
MedicineNet - Gum Disease
National Institute of Dental and Craniofacial Research
Periolase - LANAP procedure for non-surgical gum disease treatment
WebMD - Periodontal Disease, Gum Disease

ACA And Dental Insurance - What You Need To Know

by Andrea L. Algar

There's been a lot of talk about the consequences of the Affordable Care Act (otherwise known as Obamacare), but all the talk seems to focus on medical insurance and/or the costs that are spiraling beyond initial estimates. But what, if anything, has been said about dental insurance benefits with the Affordable Care Act?

Impact of Good Dental Care
in America

The American Dental Association released the statement, “Taking care of your teeth and gums isn’t just about preventing cavities or bad breath. The mouth is a gateway into your body’s overall health. And since gum disease and other health problems may be linked, brushing and flossing are more important than ever. See your dentist regularly to keep your smile, and yourself, healthy.”

Why then is only dental care for children included in the Affordable Care Act? For many adults, concerns over the cost of dental care has kept people from getting needed dental care early on when costs are lower and less tooth and gum damage has been done. Costs can even feel so prohibitive that many skip routine care or preventive care visits that are shown to save both money and the progression of tooth and mouth problems which can lead to more costly procedures like root canal treatment, the need for crowns, or periodontal work for gum disease.

It has been well documented that chronically poor dental care contributes to financial difficulties, stress, pain, and even one's health. Dentists all over the country are seeing more patients with rotting teeth, with heart disease caused from poor dental hygiene, and people in chronic pain from dental problems. Some surgeons now consider a patient's dental health to assess the risks of surgery. Life-saving surgeries can be compromised if a patient has gum disease or tooth infections.

Under Obamacare a patient’s surgery will likely be covered, but the patient may owe his dentist in full. Most men and women in the United States will continue to obtain dental insurance through their employer or they will do without dental insurance altogether. A good number of men and women in San Antonio do not have dental insurance. This is a tragedy considering how beneficial routine dental care and preventive dental care can be. There are a wealth of studies that demonstrate the financial and health gains that can be achieved by men, women and children who utilize dental care regularly.

Government believes we all deserve affordable health care, there's little debate in that. Why, though, is dental care so limited as part of the Affordable Care Act?  Would we be better served having fuller access to affordable dental care? What do you think?

Top Ten Reasons to See a Dentist in San Antonio

by Andrea L. Algar

Let's face it, going to the dentist is usually not at the top of everyone's "I really want to do this" list. Many put off going to the dentist until it is absolutely necessary. But is this best?

I've traveled quite a bit in my lifetime. Because of this, I've seen many dentists. I've been to some okay dentists, a couple of not-so-good dentists, and one good dentist I didn't mind seeing regularly. I've even done consulting work for a couple of dentists, and I've done a lot of research in the field of dentistry. Following a cross-country move, I found myself looking again for a dentist who was experienced and skilled, and someone I could trust. I know it can be hit-or-miss, and it can feel overwhelming. But, when you meet the right dentist you'll know.

You may be surprised to learn that good dentists really are on your side. They believe in preventive measures to help you keep your teeth, mouth and gums healthy and your smile looking beautiful. They're aware that their patients are concerned about how much dental care might cost, and a good dentist will discuss alternatives with you. Bottom line is that good dentists love happy patients, and they understand that it's up to them to earn your trust.

Most top ten lists are usually rather simple. They're geared to one particular type of reader, such as the consumer. But, like many things in life, there are often two sides to the story. In this case, I thought it would be interesting to see why patients feel the need to see the dentist, as well as why dentists believe it's important to get proper dental care.

Enjoy the two lists for the Top Ten Reasons to see a Dentist in San Antonio, Texas!

Top 10 Reasons to See a Dentist - 
Why Patients Seek Out Dental Care:

1) Treat a toothache / ache in jaw or mouth
2) Treat tooth abscess or infection
3) Whiten teeth - Get teeth cleaned at dentist
4) Fix knocked out, cracked, broken or lost tooth
5) Fill cavity or replace an old filling
6) Routine checkup
7) Straighten teeth, fix a gap
8) Get help for loose teeth / dentures
9) Treat a sports injury to mouth, gums, teeth, tongue or jaw
10) Injury to jaw, tongue, mouth, gums or teeth from auto accident

Top 10 Reasons to See a Dentist - 
Benefits Dentists Want You to Know About:

1) Dental care saves you money in the long run - It's affordable and most dentists offer flexible payment plans. Caught early, tooth decay prevents the need for more costly care such as root canal therapy. Studies show the dramatic benefits of preventive dentistry.

2) Dental care can improve your self-esteem and your confidence. Studies show that those with attractive smiles display more confidence. This type of confidence can have positive effects on your work, family and social life.

3) Oral Screenings. Your oral health impacts your overall health. There are strong links between good dental habits and one's overall health. The health of your teeth and gums can affect nearly every system in your body including your circulatory, digestive, respiratory and even your reproductive. Poor oral health can lead to serious illness and disease. Dentists can often spot things in your mouth that reflect potential health problems such as diabetes, hypertension and cancer. Even something like bad breath (halitosis) can be a sign of something more serious such as liver or kidney disease, chronic bronchitis, sinusitis, tooth decay or gum disease.

4) Fight periodontal disease. Gum disease is a common problem, and one that can lead to serious health issues such as heart disease, increased risk of stroke, and high-risk pregnancy. It can also cause complications with diabetes, respiratory conditions and osteoporosis. Your dentist can help prevent gum disease. If you do develop periodontal disease, your dentist can offer treatments that will prevent it from worsening. New laser treatments are the most effective treatments available and can even reverse gum disease if caught early. Dr. Gregory Bowen, a San Antonio dentist who has been using the Periolase laser for six years, explains, "With this new laser technology, patients don't have to suffer with gum disease. There is no more need for painful cut-and-stitch gum surgery."

5) Maintain healthy teeth and bones. Your dentist can help you keep your teeth longer, preventing the need for dentures, implants and dental procedures. With modern dental care, men and women are able to keep their teeth for much longer.

6) Correct wear and tear to teeth. Cavities can occur and can go unnoticed until there is pain or until discovered in a dental exam. Many older adults have metal fillings from decades earlier which now need replacement. Jaw pain is important to address, as it may indicate a wide range of potential problems including TMJ. Cracks, chips, tooth wear and tooth loss may also need to be addressed in order to maintain good dental health. The newest technologies allow dentists to provide top quality caps, crowns and tooth colored fillings right from their office for same day solutions to old problems.

7) Good preventive dental care. Dental checkups and tooth cleanings are recommended twice yearly. Even with the best brushing and flossing, plaque can build up below the gum line and in hard to reach places. Your dentist can also provide treatments to help provide protection as well.

8) Straighten crooked teeth. Whether your an adult or have children with crooked teeth, it's never too late to consider modern braces. Advances in braces has lead to invisible braces, as well as tooth straightening in as little as six months.

9) Prevent tooth loss. The ultimate goal of every dentist is to help prevent the loss of teeth, whether from improper hygiene, bad genes, or accidents. Dentists want you to be able to keep your own teeth as long as possible, and then provide alternatives if you've lost them.

10) Help you achieve a healthy mouth and whiter teeth. The ultimate goal for dentists. Of course, most would also love it if you were so happy with their services that you refer friends, family and co-workers to them. It's the best "thank you" they can receive.

Finding a good dentist to help you maintain healthy teeth and an amazing smile just makes good sense. Help spread the word about the benefits of good dental care. Share this with a friend!

RESOURCES FOR MORE INFORMATION:
Andrea Algar - How to Find the Right Dentist - Your Step-By-Step Guide

Fact or Fiction: Number 1 Infectious Disease In Children Is Tooth Decay

by Andrea L. Algar

An recent article on OregonLive.com made the bold headline that the "No 1 infectious disease among kids is tooth decay; early dentist visit matters," sparking more than a few comments about how true this claim may be, or whether it was "propaganda". I was a bit surprised by the skepticism so I decided to do some research.

Early Dental Care
Essential To Good Health

Common sense would seem to suggest that, sure, the earlier a child is introduced to the dentist, the greater the chances are that he/she will not develop any unrealistic fears, receive good oral health training, and perhaps do a better job of brushing and flossing.  And, research does seem to back up the claims that the earlier we involve our children in dental care, the better. The ultimate goal, of course, would be to have our children develop such good dental care habits that they do not develop any cavities and end up with a mouth full of beautiful, healthy teeth.

But even in today' advanced society, there is controversy. And it certainly exists when it comes to dental advice. The American Academy of Pediatric Dentistry's (AAPD) published report on the state of oral health of children in the United States seemed to strike a nerve for some. The report concluded, "Tooth decay has become epidemic among our youngest children." It went on to express fears that the Affordable Care Act (ACA) may actually worsen the trend, and concluded, "What is most frustrating for our organization, the American Academy of Pediatric Dentistry (AAPD), is most tooth decay is preventable."

The AAPD hopes that by launching their new educational campaign, more people will learn the importance of teaching our children good oral hygiene early on. They say that children should be learning these skills as early as one year of age. Does the AAPD have an "agenda"? Well, yes! I think they hope to spread the message that early intervention is key in preventing a lot of common dental problems that, if left untreated, can become serious health issues.

The actual report (see link below) contains 149 reference citations supporting their claims. And, their findings seem to be backed up by the Centers for Disease Control (CDC) and the American Dental Association (ADA). The AAPD research demonstrated the importance of good oral health and how something as "simple" as a cavity can have long-term consequences such as:

• dental pain
• ear, sinus and brain infections
• chewing difficulty
• loss of teeth
• greater risk of tooth impaction
• gum disease
• poor speech
• interrupted sleep
• self-esteem issues
• poor school performance
• health issues such as asthma

Long term, chronic tooth disease can lead to:

• obesity
• diabetes
• heart disease
• death

I thought the paper was well done. I hope it helps to get the message out to parents.

Not all dentists treat children, but even those who treat adults only know that proper introduction to dental services is essential in helping children develop good dental hygiene habits that can last a lifetime. Preventive care has always played a significant role in avoiding common problems such as cavities as children grow into adulthood. For those who did not have the best dental habits as a child, the message seems clear. Seek out good dental care so problems can be addressed and more serious consequences avoided.

RESOURCES FOR MORE INFORMATION:
AAPD - The State of Little Teeth
ADA - Disease Prevention
CDC - Children's Oral Health

Kardashians Giggle Over Dental Visit

by Andrea L. Algar

The Kardashians seem to make news in just about every aspect of their daily life. Whether they're in the headlines for what they wear or who they are being seen with, the press just can't seem to get enough. Today's buzz is all about Kourtney Kardashian's recent visit to the dentist.

Kourtney Kardashian
Photocredit: Instagram 01-30-14

All across the internet we're seeing photos of Kourtney Kardashian's lopsided grin as anesthetic kept her mouth partially numb. Reports are that sister Khloe couldn't help but make fun, and the media went wild.

Most of us have experienced what its like to have a numb mouth or lips following some dental procedures. It's not that it is uncomfortable or painful, it just makes it a bit more difficult to eat, drink and even smile. Effects are temporary, and usually do not last long. And, we're usually able to avoid having anyone notice, in fact, it is usually only noticed if we say something.

So don't fear. Thankfully, most of us will never need to fear the embarrassment of being caught in the spotlight as Kourtney Kardashian did. With a little planning, no one need know you've even been to the dentist.

If you have concerns about numbing injections or any procedures used in dental offices, talk to your dentist. He/she can explain the use, affect, and potential side effects, and can sometimes offer alternatives to help put you at ease. With modern dental equipment and techniques you no longer need to worry. Just look how much fun the Kardashian's had!

RESOURCES:
eonline.com - Kourtney Kardashian's Mouth Is Numb...
globalgrind.com - Awkward! A Dentist Trip Leaves Kourtney Kardashian's Mouth...
nydailynews.com - Khloe Kardashian Shares Funny Video...

Recent Patient Visit Triggers Memories Of Why I Became A Dentist

by Gregory R. Bowen, DDS

A patient came into my San Antonio dental office recently needing the same procedure that got me interested in being a dentist. It brought back a lot of memories.

Photo Credit: Dr. Karpovck
frontieroralsurgery.com

My patient had an impacted eyetooth which involves a surgical removal of the gum over the eyetooth, an orthodontic appliance fitted to the tooth and a spring device to gradually pull the tooth into place. This was exactly the same procedure I needed when I was in high school.

I remember the trip to the Oral Surgeon’s office in downtown Milwaukee. He was in a High Rise office building with a view of the city. I was impressed with his office. That is probably why my office now is in a high rise.

My dentist indulged my interest in what he was doing and showed me how he would pour plaster into a mold of my teeth, and then bend wires to fit the bands that would go around my teeth. Now days we bond brackets onto the front of the teeth with the same technique we use to hold fillings in. A dilute acid etches the enamel, liquid resin flows in the etching and a special blue intense light causes the resin to harden locking the specially designed bracket to lock a wire in and put a small amount of pressure on the tooth. After four months, the eyetooth had moved into place and Dr. Ferber, my dentist, was able to remove the brackets.

I decided this was an interesting and challenging profession which required the kind of course work and mechanical ability I was best at. In school, I did well in science and chemistry in particular. I had always enjoyed building model sailing ships with as much rigging and detail as I could find, and model airplanes. I also loved shop class in high school with the small engine repair, metal fabrication work, and woodworking. In short, anything involving "hands on" work.

A few years later I graduated from high school and college and received a letter of acceptance to Marquette University School of Dentistry. Dr. Ferber sponsored me at the orientation meeting and that began the four year quest for a Doctor of Dental Surgery degree, an occupation inspired by my own visits to a dentist!

How to Find The Right Dentist - Your Step-By-Step Guide

by Andrea L. Algar

Sooner or later, we're all faced with the task of needing to see the dentist for a visit. While many have regular preventive visits, others avoid not only regular cleanings, but needed services such as handling a cavity, chipped tooth or even toothache or abscess. Some avoid the dentist because they have real anxiety and dental fears. Many times they have not even looked for a dentist until they reach a crisis point . . . then they need to find a good dentist fast.

For many people it can be unsettling when trying to find a new dentist. Where do you begin? How do you find something who is honest, trustworthy, skilled and just plain nice? The list of concerns  can grow, anxiety rises, and it can sometimes feel overwhelming.

Most dentists try to set their practices apart from others in their area by offering unique services, focusing on their experience or skills, or by offering competitive prices, all while claiming to provide top care. Most all have the common goal of wanting to maintain a strong and comfortable doctor-patient relationship. So how do you narrow down the field of dentists and find one that feels like a good fit for you?

First, look at some of the reasons why you need to see a dentist:

• toothache
• jaw pain
• cavity
• loose tooth
• chipped or broken tooth
• missing teeth
• broken or lost filling
• broken or lost crown, cap or bridge
• sports injury to mouth, teeth, jaw or tongue
• auto injury to mouth, teeth, jaw or tongue
• infection or abscess in mouth
• loose dentures
• crooked teeth
• chronic bad breath

Then, look at what you look for in a good dentist:

• trustworthy
• fair prices
• honest appraisals of what you need
• honest recommendations of what is the best treatment
• respectful of your time
• convenient location
• convenient hours
• friendly staff
• accepts your insurance
• is sensitive to your anxiety / dental fears
• experienced
• utilizes modern technology and equipment
• stays current in training, education and new techniques
• is skilled
• respected by his peers

It is always better to have found a great dentist before you need them for a dental emergency. But how do you find a dentist that meets all your top wishes in the competitive and sometimes confusing world of dentistry? Here are some suggestions:

1)  Ask friends, relatives or co-workers for recommendations. People will freely recommend a good dentist.

2)  Do an online search and visit different dental websites for dentists in your area. If there is a specific need you have, such as gum disease, see who offers that specific service and take a look at what they say on their website. You should get an immediate "feel" for who they are.

3)  Then take a look at how they rate with the factors which are most important to you. Don't be afraid to be specific:

     - How much experience do they have?
     - How long have they been practicing in your area?
     - Is it a private practice or a large group practice? (this may or may not be important to you)
     - Have they invested in new technologies that can provide a better experience?
     - Do they offer non-invasive techniques that are usually less painful and shorter recovery times?
     - Do they accept your insurance and/or offer payment options for cash pay?
     - Do they offer patient financing for larger procedures?
     - Do they offer convenient hours or have options for emergencies?

4)  What do their patients say about their experiences with your top choices? This can reveal a lot about the dentist and his/her practice. Some say that review sites encourage complainers, others show that they encourage those who are happy to share with others. In truth, it's probably a bit of both. Do the reviews you see seem genuine? Good reviews typically reveal small details about their visits that let you know they're real. When you get several patients with similar experiences, it is usually a good indication that this is "normal" for that dentist.

4)  How does the office respond to you when you call their office or send an e-mail for more information? Do they listen to your needs or do they push you for an appointment before you're convinced they're the right fit? Do they offer a consultation with the dentist or do they require that you see a hygienist or other staff person for an evaluation?

5)  Once you schedule a consultation visit, assess how well the dentist explains his findings and recommendations. Do you feel they listened to your wishes and needs? Did they have your best interest in mind? Do you feel they addressed any concerns that you had, and that you were given options? Were you given time to make a decision or did you feel rushed or pushed into making a decision on the spot?

Remember, you do not need to feel obligated to have a treatment if you're not convinced you've found the right dental office. Sometimes you need to think things over following your initial consultation, and you should feel okay with that. A good dentist will understand that it is not always easy to look for a dentist, and that many factors go into selecting one.

Once you do find the "right" dentist, you'll feel relief knowing that you can turn to your new dentist for any dental need that may come up. A great dentist will make sure you understand treatment recommendations and options, will instill trust, and may even relieve your fears of going to the dentist!

ABOUT THE AUTHOR:
Andrea Algar is a writer who is a regular contributor to Dr. Gregory R. Bowen's blog. Over the last 30 years she has published articles on a variety of topics, authored two books, and writes for several blogs.